Evidence map›Paper›PMID 28664912›Full record

Trial reportBritish journal of cancer2017

A combined biomarker panel shows improved sensitivity for the early detection of ovarian cancer allowing the identification of the most aggressive type II tumours.

Matthew R Russell, Ciaren Graham, Alfonsina D'Amato, Aleksandra Gentry-Maharaj, Andy Ryan, Jatinderpal K Kalsi, Carol Ainley, Anthony D Whetton, Usha Menon, Ian Jacobs and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 119 citations in OpenAlex.

  1. Trial
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  8. HIG-2 promotes glioma stemness and radioresistance mediated by IGFBP2-rich microparticles in hypoxia.Apoptosis : an international journal on programmed cell death · 2025
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  18. Molecular Biomarkers for the Early Detection of Ovarian Cancer.International journal of molecular sciences · 2022
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Matthew R RussellStoller Biomarker Discovery Centre and Pathology Node, Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road Manchester, Manchester, UK.
Ciaren GrahamCentre for Biomedicine, School of Healthcare Science, Manchester Metropolitan University, Manchester, UK.
Alfonsina D'AmatoStoller Biomarker Discovery Centre and Pathology Node, Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road Manchester, Manchester, UK.
Aleksandra Gentry-MaharajGynaecological Cancer Research Centre, Women's Cancer, Institute for Women's Health, University College London, London, UK.
Andy RyanGynaecological Cancer Research Centre, Women's Cancer, Institute for Women's Health, University College London, London, UK.
Jatinderpal K KalsiGynaecological Cancer Research Centre, Women's Cancer, Institute for Women's Health, University College London, London, UK.
Carol AinleyCentre for Biomedicine, School of Healthcare Science, Manchester Metropolitan University, Manchester, UK.
Anthony D WhettonStoller Biomarker Discovery Centre and Pathology Node, Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road Manchester, Manchester, UK.
Usha MenonGynaecological Cancer Research Centre, Women's Cancer, Institute for Women's Health, University College London, London, UK.
Ian JacobsStoller Biomarker Discovery Centre and Pathology Node, Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road Manchester, Manchester, UK.
Robert L J GrahamStoller Biomarker Discovery Centre and Pathology Node, Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road Manchester, Manchester, UK.
University of Manchester · GBBreast Cancer Now · GBManchester Metropolitan University · GBUniversity College London · GB

Funding

Cancer Research UK 12677Medical Research Council G0801228Medical Research Council MR/M008959/1Medical Research Council MR/N00583X/1
6 · The paper itself

Abstract

backgroundThere is an urgent need for biomarkers for the early detection of ovarian cancer (OC). The purpose of this study was to assess whether changes in serum levels of lecithin-cholesterol acyltransferase (LCAT), sex hormone-binding globulin (SHBG), glucose-regulated protein, 78 kDa (GRP78), calprotectin and insulin-like growth factor-binding protein 2 (IGFBP2) are observed before clinical presentation and to assess the performance of these markers alone and in combination with CA125 for early detection.

methodsThis nested case-control study used samples from the United Kingdom Collaborative Trial of Ovarian Cancer Screening trial. The sample set consisted of 482 serum samples from 49 OC subjects and 31 controls, with serial samples spanning up to 7 years pre-diagnosis. The set was divided into the following: (I) a discovery set, which included all women with only two samples from each woman, the first at<14 months and the second at >32 months to diagnosis; and (ii) a corroboration set, which included all the serial samples from the same women spanning the 7-year period. Lecithin-cholesterol acyltransferase, SHBG, GRP78, calprotectin and IGFBP2 were measured using ELISA. The performance of the markers to detect cancers pre-diagnosis was assessed.

resultsA combined threshold model IGFBP2 >78.5 ng ml

conclusionsCombined biomarker panels (IGFBP2, LCAT and CA125) outperformed CA125 up to 3 years pre-diagnosis, identifying cancers missed by CA125, providing increased diagnostic lead times for Type I and Type II OC. The model identified more aggressive Type II cancers, with women crossing the threshold dying earlier, indicating that these markers can improve on the sensitivity of CA125 alone for the early detection of OC.

Indexed as

Biomarkers, TumorCA-125 AntigenCase-Control StudiesEarly Detection of CancerEndoplasmic Reticulum Chaperone BiPFemaleHeat-Shock ProteinsHumansInsulin-Like Growth Factor Binding Protein 2Leukocyte L1 Antigen ComplexOvarian NeoplasmsPhosphatidylcholine-Sterol O-AcyltransferaseSex Hormone-Binding GlobulinTime FactorsBiomarkers, TumorCA-125 AntigenEndoplasmic Reticulum Chaperone BiPHeat-Shock ProteinsHSPA5 protein, humanInsulin-Like Growth Factor Binding Protein 2Leukocyte L1 Antigen ComplexPhosphatidylcholine-Sterol O-AcyltransferaseSex Hormone-Binding Globulin

Identifiers

PMID28664912
PMCPMC5572165
OpenAlexW2621134536

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.